I thinlung hi kan taksa peng mak ber pakhat a ni. Mahse a chang chuan kan taksaa hrik te tak te lo lut hian heart valve-ah a kal a, i ngaihtuah aiin harsatna lian zawk a thlen thei a ni. Vawiin hian hetiang natna khirh tak leh nunna atana hlauhawm tak ‘Infective Endocarditis’ tih leh a zai a ngaih chhan kan sawi dawn a ni. Hei hi thupui buaithlak deuh mahse, awlsam taka hriatthiam tum ila.
A awlsam zawngin, Infective Endocarditis chu eng nge ni?
Hetiang hi a ni: A tlangpuiin ha kan lak chhuah emaw, endoscopy kan neih emaw, surgery dang kan neih hian bacteria emaw, fungi emaw ang chi natna hrik kan thisenah a lut thei a ni. A tlangpuiin heng natna hrik te hian thinlung hrisel tak valve te hi a tichhe nasa thei lo. Infection do theihna an nei a ni.
Mahse, i thinlung valve-ah chak lohna, natna emaw, pianpui harsatna emaw a awm chuan, thisena lut hrikte chu lei tha takah chi lo chhuak ang maiin chu valve-ah chuan an innghat thei a, chutah chuan zung an kai thei a, an pung chho tan thei a ni. Hei hi `Infective Endocarditis` kan tih chu a ni.
He dinhmun hian engtin nge i hriselna a nghawng?
Enkawl loh chuan heng natna hrik te hi thinlung valve-ah an pung a, hrik lo thang lian ang maia lang an siam thin. Damdawi lamah chuan heng thing leh mau hi kan ti a ni. Hengte hi valve-a lo thang lian lo te te chauh an ni.
Heng natna hrik te hian enzyme an siam a, chu chuan heart valve tissue hrisel tak chu a tichhia tan a ni. Hei hian a chhan chu:
- Valve chak lohna: Valve hi a khar tha lo thei a, thisen chu hnunglam hawiin a leak tan thei (leaky valve).
- Heart Failure: Valve te a thawk tha lo a nih chuan heart hian thisen a pump tur angin a pump tha thei lo. Hei hi heart attack a ni lo va, thinlung chak lo zauh zauh a ni.
- Embolism: A hlauhawm ber chu chutiang thing leh mau zinga pakhat chu a chhe thei a, thisen nen a kal dun thei a, taksa hmun dangah thisen kalna kawng a tikhawlo thei a ni. He a chhe lai hi embolis kan ti a . Thluak thisen kalna kawng khatah a tlakbuak chuan stroke a thlen thei a, lungah a tlakbuak chuan nunna atana hlauhawm tak, pulmonary embolism tih chu a thlen thei bawk.
Enkawl dan leh zai a ngaihna te
He natna enkawl dan hi hrik kaitu hrik chi leh natna nasat danah a innghat a ni. A hmaa hriatchhuah a nih chuan kar tlemte chhung antibiotics chak tak hmanga tihdam theih a ni.
Mahse, valve-ah thing leh mau a lo awm a nih chuan, valve-te a chhiat chuan, emaw, artificial valve i neih tawh chu a kai a nih chuan, operation neih a ngai fo thin.
Surgery atanga beisei tur:
- Infection thunun theih loh tihbo vek.
- Valve chhia siamthat emaw, valve chhia chu lakchhuah a, a thar dah emaw.
- Paralysis ang chi harsatna na tak tak venna.
Engtikah nge surgery hi tih tur?
Surgery hun tur hi i dinhmun nasat danah a innghat a ni. A chang chuan surgery hi tih hmasak a ngai mai thei a, a chang chuan a rei deuh thei bawk. Chutiang dinhmunte chu eng nge ni tih i han thlir teh ang.
| Surgery neih hun tur | |
|---|---|
| Emergency surgery neih a ngai theihna tur dinhmun | |
| Chhan | Hrilhfiahna |
| Lung lam chak lohna | Valve chhiat avanga thinlungin thisen a pump tha thei lo a nih chuan. |
| Thing leh mau lian tak tak | Heng piece te hi a inthen a, embolism a thlen theihna a sang hle. |
| Antibiotics hmanga enkawl loh vang | Antibiotics pek hnuah pawh hri kai hi a thunun theih loh chuan. |
| Prosthetic valve natna hrik a awm | Prosthetic valve awmsa chu a infect a nih chuan. |
| Lung lam abscess | Infection hian heart muscle-a abscesses ang chi thil a thlen a nih chuan. |
| Surgery tihkhawtlai a awm | |
| Nervous system lama harsatna awm thei | Damlo hian stroke ang chi natna a nei tawh a nih chuan thluak dinhmun a nghet hma loh chuan zai hun sawn a ni thei. |
| Infection hi control theih a nih chuan | Infection a na lo a, complication awm theihna a tlem chuan antibiotics full course pek a nih hnuah leh infection a thianghlim hnuah operation hi tih theih a ni. |
Engtin nge surgery hi ka tan a tha em tih ka hriat theih ang?
Hei hi nangmah chauhva thutlukna siam a ni lo. I doctor leh cardiologist team te chuan he thutlukna hi an siam dun a ni. Test eng emaw zat an nei dawn a ni.
- Thisen test: Natna thlentu bacteria emaw fungus chi dik tak hriat chian.
- Echocardiogram (TEE/TTE): Hei hi thinlung scan ang a ni. Thil tam tak a enfiah thei a, chu chu valve-a thing leh mau lian leh te, valve-a chhiatna, leh thisen chhuak a awm leh awm loh te a ni.
- CT Scans: Thluak emaw taksa peng dang emawa harsatna awm leh awm loh enfiah nan.
Surgery hnuah eng nge thleng? Tin, a hlauhawmnate chu engte nge ni?
Operation hnu ni engemaw zat chu intensive care unit (ICU)-ah i awm a ngai ang. I thinlung hnathawh dan a enfiah ang. Antibiotics hi thisen kaltlangin emaw, pill angin emaw kar engemaw zat i ei a ngai dawn a, chu chu natna hrik a bo vek hma loh chuan a ni. In i haw hnuah chawlh hahdamna tam tak i nei tur a ni. Chau leh natna hriat hi thil pangngai a ni.
Surgery lian dang ang bawkin risk a awm bawk. Chûng zîngah chuan thisen chhuah tam lutuk, thinlung thawk mumal lo (arrhythmia), thisen zam, paralysis , leh valve dah thara infection te a tel. Mahse, operation neih loh hlauhawmna chu a nasa zawk tih hre reng ang che. I doctor chuan heng hlauhawmnate hi a hrilhfiah ang che.
Operation hnua doctor hmuh hun tur
In lama i haw hnua a hnuaia symptoms te hi i neih chuan doctor thurawn lak nghal a pawimawh hle.
- Chhuak na emaw, rilru a tight tih hriatna emaw.
- Surgery hliam atanga pus emaw thisen chhuak danglam tak emaw.
- Hliam vel a sen, a hring emaw, a lum emaw.
- Khawsik emaw, khawsik emaw i neih chuan.
- Thâwk harsa i tih emaw, i thinlung a na lutuk (palpitations) emaw a nih chuan.
Infective Endocarditis natna hi ngaihthah tur a ni lo. Amaherawhchu, a hun takah enkawl dan dik leh a tul chuan zai a nih chuan mi tam tak nunna chhanchhuah theih a ni.
Take-Home Thuchah a ni
- Infective endocarditis hi natna khirh tak a ni a, chu chu heart valve-a hrik lut vang a ni. Damdawi lam enkawl vat a ngai a ni.
- A tir lamah chuan antibiotics hmanga tihdam theih ni mah se, valve a chhiat emaw, thing lian tak tak a lo awm emaw chuan operation neih a ngai fo thin.
- Surgery hian infection a control thei a, heart function a humhim thei a, paralysis ang chi harsatna lian tham a veng thei bawk.
- Surgery hun tur hi i damdawi lam dinhmun a zirin medical team ten an ruat thin.
- Operation hnua a dam leh theih nan hun a duh a ni. I doctor thupek dik takin zawm la, warning signs te chu fimkhur reng ang che. Thil ngaihtuah tur i neih chuan i doctor nen inbia ang che.
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